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Dry Needling

Duration: 20-30 minutes per session · Ayurvedic Sports Medicine, Physiotherapy and Rehab

Overview

Dry needling is a modern, evidence-based technique in which a very fine, sterile filament needle is inserted into a myofascial trigger point — a tight, irritable knot within a muscle that causes local and referred pain. “Dry” simply means nothing is injected; the therapeutic effect comes from the needle itself, which helps the contracted muscle fibres release, improves local blood flow, and calms the way the nervous system processes pain from that area.

At ACTYMED, dry needling is one of our most-used tools for muscle-related pain — from stubborn neck and shoulder knots to tennis elbow, heel pain and sports injuries. It is always performed after a proper assessment, by clinicians certified in dry needling, and almost always as part of a broader plan that includes exercise and load management rather than as a stand-alone fix.

Frequently Asked Questions

Does dry needling hurt?

The needle is extremely thin — most people barely feel it enter the skin. When it reaches an active trigger point you may feel a brief, deep cramping ache or a muscle twitch. That twitch is actually a good sign: it usually means the right spot has been found. Mild soreness for a day or so afterwards, like post-exercise soreness, is common and normal.

Is dry needling the same as acupuncture?

They use similar needles but different frameworks. Dry needling targets anatomical trigger points and dysfunctional muscle tissue based on Western neuromusculoskeletal examination. Acupuncture works on a broader system of points, traditionally described in Chinese medicine and, in medical acupuncture, interpreted through modern neurophysiology. ACTYMED offers both — your clinician will recommend what suits your problem.

How many sessions will I need?

Many people notice a change within one to three sessions. A typical course is three to six sessions spaced across a few weeks, combined with a home exercise programme so the muscle does not simply tighten up again.

Is dry needling safe?

In trained hands it is very safe. The most common side effects are temporary soreness, a small bruise, or brief light-headedness. Our clinicians are formally certified in dry needling and follow strict single-use needle and hygiene protocols.

Who should avoid dry needling?

We avoid or modify needling if you have a bleeding disorder or take strong blood thinners, have an active skin infection in the area, are in the first trimester of pregnancy, have significant needle phobia, or have lymphoedema in the limb. Your clinician screens for all of this before treatment.

What conditions responds best to dry needling?

It works best for pain that comes from muscle trigger points: neck and shoulder pain, tension-type headaches arising from the neck, tennis and golfer’s elbow, hip and gluteal pain, hamstring and calf tightness, heel pain and many sports-related muscle problems.

Can I train or work after a session?

Yes — light activity is actually encouraged. We usually suggest avoiding very intense training of the needled muscles for 24 hours, then returning to your programme.

Key Benefits

  • Rapid release of tight, painful muscle trigger points
  • Reduces local and referred muscle pain
  • Restores muscle length and joint range of motion
  • Drug-free — no injected substances
  • Often produces change within the first few sessions
  • Combines well with exercise and manual therapy

When This Treatment Is Used

  • Myofascial trigger-point pain in the neck, shoulders and back
  • Tension-type headache arising from neck muscles
  • Tennis elbow and golfer's elbow
  • Gluteal, hamstring and calf tightness or strain
  • Plantar heel pain
  • Muscle-dominant sports injuries and overuse problems

When It Is Avoided

  • Bleeding disorders or strong anticoagulant medication
  • Active skin infection, wounds or rash at the treatment site
  • First trimester of pregnancy (needling is modified or deferred)
  • Severe needle phobia
  • Lymphoedema in the affected limb
  • Immunocompromised states — discussed case by case

Your clinician will always screen you before treatment — share your full medical history at your consultation.

Scientific Evidence

  • A systematic review and meta-analysis in the Journal of Orthopaedic & Sports Physical Therapy (Gattie et al., 2017) found dry needling improves pain and function in musculoskeletal conditions in the short term
  • A meta-analysis in Archives of Physical Medicine and Rehabilitation (Liu et al., 2015) supports dry needling for neck and shoulder trigger-point pain
  • Randomised trial evidence (Cerezo-Tellez et al., Pain 2016) shows deep dry needling reduces chronic neck pain and improves function
  • Best outcomes occur when needling is combined with exercise rather than used alone — the approach ACTYMED follows

Conditions This Treatment Helps With

More Needling Therapies

Doctors Who Perform This Treatment

Dr. Ajeesh T Alex

Dr. Ajeesh T Alex

Ayurvedic Orthopaedics & Sports Medicine

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